Medical Billing & Denial Management Specialist Job Title:

Medical Billing & Denial Management Specialist

Location:

West Palm Beach, FL (On-Site)

Working Schedule:

M-F 8:00am-4:30pm (Training 9am-5pm)

Pay Rate:

$20.00 - $25.00/hour (based on experience) Position Overview

We are seeking an experienced Medical Insurance Follow-Up & Denials Specialist to join our Revenue Cycle team. This position is responsible for high-volume insurance follow-up, EOB review, denial management, appeals, and claim resolution for multiple physician practices and hospitals. Candidates must have recent experience working medical accounts receivable, insurance collections, and payer portals in a fast-paced billing environment. Required Experience

2-3+ years of Medical Insurance Accounts Receivable (AR) experience

Experience reviewing Explanation of Benefits (EOBs)

Strong Denial Management experience

Insurance Follow-Up on commercial, Medicare, and Medicaid claims

Experience handling 40-50+ claims per day

Appeals writing and claim reconsiderations

Experience with Change Healthcare/Payerpath or similar clearinghouses Key Responsibilities

Manage and collect on a high volume of medical claims (40-50 daily)

Follow up with insurance carriers regarding outstanding claims

Utilize clearinghouse tools such as Payerpath/Change Healthcare

Research and resolve claim issues using insurance portals and online resources

Prepare and submit appeals letters to ensure claim approval

Handle inbound patient calls, including resolving billing questions and concerns

Maintain accurate documentation and protect sensitive patient information (HIPAA compliance) Qualifications

2-3+ years of medical collections experience (required)

Experience working with high-volume claims (billing company experience preferred)

Proficiency with:

Practice Management software

Microsoft Office (Word, Excel)

Google Workspace (Gmail, Google Drive)

Knowledge of:

ICD-10 coding

10-key data entry with speed and accuracy

Experience with clearinghouses (Payerpath/Change Healthcare preferred; others accepted)

Strong internet research skills and familiarity with insurance portals

Excellent written communication skills (especially for appeals)

Strong customer service skills with ability to handle sensitive or difficult conversations Work Environment & Schedule

Business casual office environment

Typical hours: 8:00 AM - 4:30 PM (flexibility may be required)

Minimal overtime (only during special projects)

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